Opinion on existing arrangements Sample Clauses

Opinion on existing arrangements. The current commissioned service (across England) and problems associated with this service are documented in the sections above. There are four key issues relating to the current service that can negatively impact on the outcome for the young person. These are: 1. Time from referral to treatment; 2. Equity of access to appropriate inpatient secure facilities; 3. Proximity to the young person’s support system, including family, friends and clinical support; 4. convoluted legal processes in terms of cross border transfers; Key to the successful outcome for a young person is the time taken to from referral to treatment, the quicker the response the higher the success rate. Currently the commissioned service takes on average three months from referral to admission to the inpatient facility. Within those three months, the care setting for that young person maybe inappropriate, potentially leading to a less positive outcome. Over the past twelve months cross border transfers have dropped significantly. This appears to be due to a change in practice where regarding English services prioritising English young people. We can speculate that there are a number of reasons for this change, such as, political spotlight being placed on CAMHS in England and an increased need being identified within the young people of England. It has been well documented that there is a benefit to the young person being as close to their support system as possible. The support system can include family, friends and a professional care team around the young person. By placing the young person in England; the physical distance can hamper or lengthen the time to a successful outcome. Education also plays a key part in recovery and development of the young person. Transferring to the English curriculum can add to the difficulties encountered by the young person at an already challenging time for them. The legal complexity of cross border transfers and the time taken to complete this can create anxiety and uncertainty for the young person and their families whilst they are waiting for a decision. In addition the young person may be placed within an inappropriate care setting for a protracted period whilst awaiting the outcome. In the opinion of the project team, the NSAIS will be of benefit to, and enhance the probability of a successful clinical outcome for the young people either awaiting or currently being referred to the commissioned service in England.
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Related to Opinion on existing arrangements

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